Organization
FOOT CENTER JAMES M POUILLON DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW POUILLON D.P.M. (OWNER)
(616) 706-9010
Entity
Organization
Contact information
Practice address
938 MAXWELL AVE SE, GRAND RAPIDS, MI 49506-3443
(616) 706-9010
Mailing address
938 MAXWELL AVE SE, GRAND RAPIDS, MI 49506-3443
(616) 706-9010
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901002014
MI
Other
Enumeration date
08/14/2007
Last updated
08/28/2007
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